24/100
#2,067 nationally
St Michael Medical Center
1800 Nw Myhre Rd, Silverdale, WA 98383 · (360) 377-3911
Charges far above the national norm
For every $1 of care Medicare actually paid for here, St Michael Medical Center billed $6.71 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 6.7x
- volume-weighted across all its priced work
- Procedures priced
- 150
- inpatient and outpatient combined
- Rank in WA
- #39
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 18% of U.S. hospitals.
Better than 35% of U.S. hospitals.
Better than 18% of U.S. hospitals.
Better than 31% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
591 | $113,667 | $19,149 | +74% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
428 | $37,783 | $3,514 | +50% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
365 | $35,161 | $2,940 | +81% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
326 | $96,684 | $13,969 | +55% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
302 | $9,742 | $1,729 | -3% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
300 | $32,051 | $3,730 | +55% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
273 | $41,368 | $5,564 | +51% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
250 | $68,528 | $12,162 | +58% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
184 | $25,723 | $3,438 | +35% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
175 | $60,585 | $6,139 | +73% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications
MS-DRG 896 · Inpatient stay |
$192,654 | $30,420 | +194% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$30,538 | $2,082 | +169% |
|
Carotid Artery Stent Procedures without Complications/mcc
MS-DRG 036 · Inpatient stay |
$172,916 | $16,315 | +145% |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
$105,053 | $12,638 | +137% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$113,562 | $16,824 | +134% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$120,367 | $17,077 | +127% |
|
Extracranial Procedures without Complications/mcc
MS-DRG 039 · Inpatient stay |
$120,451 | $12,441 | +126% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$91,824 | $12,277 | +125% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$9,742 | $1,729 | -3% |
|
Cardiac Defibrillator Implant with Cardiac Catheterization and MCC
MS-DRG 275 · Inpatient stay |
$294,368 | $62,469 | -3% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
$93,100 | $20,962 | about average |
|
Other Circulatory System Operating Room Procedures
MS-DRG 264 · Inpatient stay |
$133,677 | $27,726 | about average |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$52,254 | $11,503 | about average |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$161,153 | $35,371 | +8% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
$106,483 | $20,413 | +14% |
|
Other Operating Room Procedures for Injuries with Major Complications
MS-DRG 907 · Inpatient stay |
$198,129 | $35,978 | +15% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.